Chapter Five

Implementation, Monitoring,Evaluation and Learning Framework

CHAPTER FIVE: IMPLEMENTATION, MONITORING, EVALUATION AND LEARNING FRAMEWORK
Overview

The implementation of the NCCEAP will be tracked through three key approaches, as guided by the National Cancer Monitoring, Evaluation, Accountability and Learning Framework 2023-2027.

First, the implementation framework in appendix 1 will be used to structure the proposed activities for every year into the annual workplans for all responsible agencies at national and county level.

Second, various indicators will be monitored on a continuous basis, to inform stakeholders on performance of the elimination initiative, and informing decision-making.

Lastly a mid-term evaluation will be conducted in 2028 and an end-term evaluation in 2031, to assess the extent of implementation and impact of the NCCEAP.
5.1 Monitoring

Monitoring NCCEAP will be integrated into the national surveillance platforms, and ride on the digital superhighway. Service provision modules integrated into Taifa Care and other EHR platforms will collect data on HPV vaccination, screening, precancer treatment, diagnosis, staging and treatment of invasive cervical cancer. This information will be aggregated and transmitted to the Kenya Health Information System (KHIS), where it will then be pulled into the National Oncology Dashboard. Therefore, both monitoring of the cervical cancer program and information dissemination will be a continuous process.

5.2 Evaluation

Both a mid-term (2028) and end-term (2031) evaluations will be conducted to assess the country’s progress towards attainment of the set targets.

5.3 Learning

The revamped National Oncology dashboard will be made available and accessible to all relevant personnel, including the technical program implementers at national (relevant MoH divisions and agencies) and county (cervical cancer focal persons, NCD coordinators, EPI focal persons, facility in-charges, etc.), as well as decision-makers at national (DG, Principal Secretaries) and county (County Directors of Health, Chief Officers Health, County Executive Committee Members for Health and Governors) levels. A cervical cancer elimination report will be published and disseminated to all stakeholders, including the general public, every year.

5.4 Implementation Coordination and Governance

Implementation of the NCCEAP will be based on existing structures, including county NCD TWGs, county NCD and cancer focal persons, national TWGs under NCCP and NVIP, the NCD interagency coordination committee (NCD-ICC) and School Health coordination structures (see appendices III and IV).

NB: The outcome performance matrix is shown in Appendix II